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REGISTRATION FORM
Please fill in the form in order to register to one of our courses
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* Indicates required question
Name
*
Name, Lastmane
Your answer
Address
*
eg: Putsesteenweg 220
Your answer
ZIP
*
eg: 2820
Your answer
City
*
eg: Bonheiden
Your answer
Telephone
*
eg: +32 499 123456
Your answer
Email address
*
eg:
mario.rossi@mydomain.com
Your answer
Please select a course (corresponding to your level+1)
*
Any level higher than A1 will be subject to assessment
Choose
A1
A2.1
A2.2
A2.3
B1.1
B1.2
B1.3
B2.1
B2.2
B2.3
B2.4
C1.1
C1.2
C1.3
C1.4
C2
Choose the Session
*
Number of patecipants per session is limited, please book some days in advance
Choose
3/2/2014 - 28/2/2014
3/3/2014 - 28/3/2014
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